Authors: Mohamed Abdulrahman Mohamed Alshekhani, Bakhtyar Faiq Salim, Dr. Zana Nasraddin Mohialdeen, Bnar Jamal Hama Amin.
Background: Inflammatory bowel disease is comprised of two major disorders: ulcerative colitis and Crohn's disease, most patients have distinct features of either Crohn disease or ulcerative colitis, but approximately 5% to 10% have features of both diseases known as indeterminate colitis The incidence of inflammatory bowel disease varies widely between populations.
Objectives: The aim of the study to identify the clinical characteristic of patients diagnosed as inflammatory bowel disease in KCGH center in Slemani city.
Patients and Methods: This cross-sectional study was conducted in Kurdistan center of gastrointestinal and hepatobiliary disease in Sulaimani city during 16 months from Sep. 2013 to Feb. 2015, during this period we included 74 newly diagnosed patients in whom the diagnosis of UC and CD was confirmed by clinical, laboratory, endoscopic and histological examination, all patients were subjected to full history, clinical examination findings, endoscopic feature and histopathological findings. Data of all patients were entered into statistical package for social sciences software for Windows, version 18.
Results: In total, 74 new cases of IBD [75.7% ulcerative colitis 21.6% chron’s disease, 2.7% indeterminate were identified during a 16 months period from sep./2013; mean age 35±14 years, young age groups (20-39 years) were more prevalent, Females (52.7%) were more than males (47.3%), No significant differences were observed between UC patients and Chron’s patients regarding age and gender (p>0.05), There was a significant association between bleeding per rectum and ulcerative colitis patients (p<0.001). Abdominal pain was significantly associated with Chron’s patients (0.03). Among ulcerative colitis patients, proctitis was the main type (39.3%) while in patients with Chron’s, iliocolonic involvement was predominant (50%).
Conclusions: The rate of Chron’s has increased significantly in comparison to other studies done in Iraq and near countries; IBD most commonly present in 20- 39 year, unlike most of the western studies there was no second peak in old age group, although the number of elderly was too small in this study, to draw a solid conclusion.
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